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Young girl with multiple intracranial hydatid cyst

Nani Sen1, Debal Laha2, P K Gangopadhyay2

  • 1Department of Neurosurgery.

Annals of Neurosciences
|September 11, 2014
PubMed

Insights

A young girl with uncontrolled seizures was diagnosed with multiple hydatid cysts in her brain. Surgical removal of the 35 intact cysts led to complete seizure freedom and neurological improvement.

Area of Science:

  • Neurology
  • Neurosurgery
  • Parasitology

Background:

  • Brain hydatid cysts are rare parasitic infections, often presenting with neurological deficits.
  • Uncontrolled seizures and obtundation indicate significant intracranial pathology.

Observation:

  • An 8-year-old girl presented with severe neurological impairment, including obtundation and seizures.
  • MRI revealed multiple, coalescent, extra-axial cystic lesions in the bilateral frontotemporoparietal regions.

Findings:

  • The lesions were diagnosed as multiple hydatid cysts.
  • Surgical intervention involved intact removal of 35 cysts using saline irrigation.
  • Histological examination confirmed the diagnosis of Echinococcus granulosus infection.

Implications:

  • Complete surgical excision of hydatid cysts can lead to full neurological recovery.
  • This case highlights the importance of considering parasitic etiologies in complex neurological presentations.
  • Effective management involves meticulous surgical technique to prevent cyst rupture and dissemination.

Keywords:
Hydatid cystIntracranialMultiple

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